Cerebellum
Anatomy
–Hemispheres
Functions
–Compares intended
movement with
what is actually
happening
–Smooth,
coordinated
movements
–Posture/balance
Brain Stem
Anatomy
–Medulla oblongata
–Pons
–Midbrain
Functions
–Medulla
Relays motor and
sensory information
Regulates heartbeat,
breathing and blood
vessel dilation
–Pons
Control breathing
Protective Coverings
(Meninges)
Dura mater
Dense connective tissue
Arachnoid
Nonvascular connective tissue
Pia mater
Highly vascular
Covers surface of the brain and spinal cord and
invaginates along cortical surface to form
perivascular spaces
Cerebral Spinal Fluid
Formed in the choroid plexus
Reabsorbed into saggittal sinus by
arachnoid villi
Protects brain against concussive
trauma
removes waste products
CN I: OLFACTORY
Cranial nerve I
Function:
–smell
Clinical test for
damage:
–determine whether
a person can smell
something aromatic
CN II: OPTIC
Cranial nerve II
Function:
–vision
Clinical test for
damage:
–tests peripheral vision
and visual acuity
Effects of damage:
–blindness in part or all
of the visual field
CNIII: OCULOMOTOR
Cranial nerve III
Function:
–eye movements, opening of
eyelid, constriction of pupil,
focusing, proprioception
Clinical tests for injury:
–differences in pupil size;
pupillary response to light; eye
tracking
Effects of damage
–dropping eyelid, dilated pupil,
double vision
CNIV: TROCHLEAR
Cranial nerve IV
Function: eye movements
and proprioception
Clinical test for injury: ability
to rotate eye inferolaterally
Effects of damage –double
vision, patient tilts head
toward affected side
CN V: TRIGEMINAL
Cranial nerve V
Function: sensory nerve of the
face
Clinical test for injury:
–corneal reflex; sense of
touch, pain, and
temperature; clench teeth;
move mandible side to side
Effects of damage:
–loss of sensation and
impaired chewing
CN VI: ABDUCENS AND
CN VII: FACIAL
Cranial Nerve VI
Function: Eye
movements
Clinical test: lateral eye
movement
Effects of damage:
inability to rotate eye
laterally; at rest –eye
rotates medially
because of action of
antagonistic muscles
Cranial Nerve VII
Function: facial
expression; sense of
taste
Clinical test: motor
functions –close eyes,
smile, whistle, frown,
raise eyebrows; taste
Effects of damage:
inability to control
facial muscles;
distorted sense of taste
CN VIII:
VESTIBULOCOCHLEAR
Cranial Nerve VIII
Function: hearing and equilibrium
Clinical tests: test hearing, balance,
and ability to walk a straight line
Effects of damage: deafness,
dizziness, nausea, loss of balance, and
nystagmus
CN IX: GLOSSOPHARANGEAL
AND CN X: VAGUS
Cranial Nerve IX
Function: swallowing,
salivation, gagging; touch,
pressure, taste, and pain
sensations from tongue,
pharynx, and outer ear
Clinical tests: gag reflex,
swallowing, and coughing
Effects of damage:
difficulty swallowing
Cranial Nerve X
Function: swallowing; taste;
speech; respiratory, CV, and
GI regulation; sensations of
hunger, fullness, and
intestinal discomfort
Clinical tests: test with
cranial nerve IX
Effects of damage:
hoarseness or loss of voice;
impaired swallowing and GI
motility
CN XI: ACCESSORY AND
CN XII: HYPOGLOSSAL
Cranial Nerve XI
Function: swallowing; head,
neck, and shoulder
movements
Clinical tests: rotate head
and shrug shoulders against
resistance
Effects of damage: impaired
movement of head, neck,
and shoulders; paralysis of
sternocleidomastoid
Cranial Nerve XII
Function: tongue movements
of speech, food
manipulation, and
swallowing
Clinical test: tongue function
Effects of damage: difficulty
in speech and swallowing;
atrophy of tongue; inability
to stick out (protrude)
tongue